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-Is a brief statement outlining the reason an organizations exists, and addresses its position regarding ethics, principles, and standards of practice. It is the highest priority in the hierarchy of planning because it influences all the other planning components in the pyramid

Vision statement

-Is are always future oriented while mission statements provide the foundation for organizational planning, an example of a vision statement would be “To become an exemplar for healthcare in the region”

Flows from the mission statement and defines the set of values and beliefs that guide all actions of the organization, it is the basic foundation that directs all further planning toward the mission, a philosophy statement can usual be found in policy manuals and are available upon request

Nursing

-The concepts of holistic care, education, and research, as well as the quality, quantity, and scope of nursing services

Societal

-Sets of beliefs that guide their behavior, called values. Some strongly held american values are individualism, the pursuit of self-interest, and competition, we will be discussing the effect of these values on our healthcare system later on.

Individual

-Shaped by the socialization processes experienced by that person.

Value criteria

1. It must be freely chosen from among alternatives only after due reflection

2. It must be prized and cherished

3. It is consciously and consistently repeated (part of a pattern)

4. It is positively affirmed and enacted

Each nurse-leader should encourage self-awareness in their employees through examination of their value system and understanding the role that it plays in decision making and resolving conflict.

Identify how and when the goal is to be accomplished, they are more specific and measurable than goals in this regard

Process objectives

Are written in terms of the method to be used, an example of a process objective might be “100% of nurses will teach their pts how to use the callbell within 30 mins of admission, and request return demonstration”

Result-focused objectives

Specify the desired outcome, an example of this would be “ All post-op pts will perceive a decrease in their pain after the administration of pain medicine”

Not written or verbally expressed, and usually developed over time and follow a precedent; for example a hospital may have a policy that employees should be encouraged and supported in their activity in regional, community, and national healthcare organizations

Expressed policies

Delineated verbally or in writing

May include a formal dress-code, a policy for sick leave or vacation time, and disciplinary procedures

Baylor of Garland still uses paper charting -- because of this many medication errors may occur

For example, a patient received the incorrect dosage of an anti-seizure medication for 2 days because the pharmacy scanned the incorrect doctors order due to the disorganization of the paper chart. Because of this, the patient experienced an unnecessary seizure before the error was found

Access

Sample Objective/Goal: “Provide care to 15% more patients than we did last year”

Assess resources to available to achieve the objective

How much additional staff will be needed?

How much additional space will we need?

Will we need new construction?

New wing or modular building?

How will we pay for the addition – seek funding, charity or debt financing (taking out a loan)?

Cost

Sample Objective/Goal: “Decrease the unnecessary waste of supplies by 5%”

Many times supplies will be wasted because the patient was not properly assessed prior to getting the supplies – for example grabbing a male-sized catheter for a female and not realizing it until the procedure.